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腓浅神经卡压。诊断及减压结果。

Entrapment of the superficial peroneal nerve. Diagnosis and results of decompression.

作者信息

Styf J

机构信息

Department of Orthopaedics, Gothenburg University, East Hospital, Sweden.

出版信息

J Bone Joint Surg Br. 1989 Jan;71(1):131-5. doi: 10.1302/0301-620X.71B1.2914984.

DOI:10.1302/0301-620X.71B1.2914984
PMID:2914984
Abstract

Entrapment of the superficial peroneal nerve was treated in 24 legs of 21 patients by fasciotomy and neurolysis; 19 of the patients were reviewed after a mean period of 37 months. Nine were satisfied with the result, another six were improved but not satisfied because of residual limitation of athletic activity, three were unchanged and one was worse. Conduction velocity in the superficial peroneal nerve had increased after operation, but the change was not significant. In five patients the nerve had an anomalous course and in 11 there were fascial defects over the lateral compartment. Chronic lateral compartment syndrome is an unusual cause of nerve entrapment. Operative decompression produces cure or improvement in three-quarters of the cases, but is less effective in athletes.

摘要

对21例患者的24条腿进行了筋膜切开术和神经松解术治疗腓浅神经卡压;平均37个月后对其中19例患者进行了复查。9例对结果满意,另外6例有所改善但不满意,因为运动活动仍有残留受限,3例无变化,1例恶化。腓浅神经的传导速度术后有所增加,但变化不显著。5例患者神经走行异常,11例外侧肌间隔存在筋膜缺损。慢性外侧肌间隔综合征是神经卡压的不常见原因。手术减压在四分之三的病例中可治愈或改善病情,但对运动员的效果较差。

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